NCLEX-RN
Psychosocial Integrity NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
When the health care provider diagnoses metastatic cancer and recommends a gastrostomy for an older female client in stable condition, the son tells the nurse that his mother must not be told the reason for the surgery because she 'can't handle' the cancer diagnosis. Which legal principle is the court most likely to uphold regarding this client's right to informed consent?
Correct Answer: D
Rationale: Health care providers may be found guilty of negligence, specifically assault and battery, if they carry out a treatment without the client's consent. The client's condition is stable, so the family cannot provide consent without her involvement, making option A incorrect. There is no evidence of mental incompetence in the client, so the son cannot waive informed consent, making option B incorrect. While therapeutic privilege may have been accepted in the past, it is unlikely to be upheld by today's courts, making option C incorrect. It is crucial for health care providers to obtain informed consent from clients before proceeding with any treatment to avoid legal consequences and uphold ethical standards.
Question 2 of 5
An increase in the neurotransmitter dopamine is associated with which of the following illnesses?
Correct Answer: A
Rationale: An increase in the neurotransmitter dopamine is associated with schizophrenia. Dopamine dysregulation is linked to some symptoms of schizophrenia, such as hallucinations and delusions. Depression (choice
B) is more commonly associated with abnormalities in serotonin and norepinephrine. Alzheimer's disease (choice
C) is primarily characterized by deficits in acetylcholine and other neurotransmitters. Anxiety disorders (choice
D) are often linked to imbalances in neurotransmitters like serotonin, norepinephrine, and GABA, rather than dopamine.
Question 3 of 5
When bathing an uncircumcised boy older than 3 years, which action should the nurse take?
Correct Answer: C
Rationale: When bathing an uncircumcised boy older than 3 years, it is essential to gently retract the foreskin to cleanse the penis. This helps in preventing the buildup of bacteria and maintaining good hygiene. Reminding the child to clean his genital area (Option
A) may not be effective due to the child's cognitive development level. Perineal care should not be deferred (Option
B) as it is necessary for maintaining hygiene at any age. Asking the parents why the child is not circumcised (Option
D) is not relevant to the immediate care required during bathing.
Question 4 of 5
Which of the following is a nursing intervention for a client who is experiencing an acute panic attack?
Correct Answer: C
Rationale: When assisting a client with an acute panic attack, the primary goal is to help reduce their anxiety levels. Encouraging the client to focus on one controllable aspect, like regulating breathing patterns, can aid in calming them down. This intervention helps the client to regain control over their breathing, which can alleviate some of the symptoms associated with panic attacks. Options A and B are incorrect because allowing the client to direct the situation or sit down in a quiet environment may not be beneficial during an acute panic attack. Option D is inappropriate as speaking in a commanding tone can further escalate the client's anxiety rather than helping to calm them down.
Question 5 of 5
A client is discussing his personal feelings of self-esteem and self-concept with a nurse. Which of the following questions is most appropriate for assessing the client's personal identity?
Correct Answer: C
Rationale: When assessing a client's personal identity, it is essential for the nurse to inquire about aspects related to the client's self-perception and self-worth. Asking about what the client likes about his current life helps to explore his positive self-perceptions and areas of contentment. This question encourages the client to reflect on his present circumstances and identify aspects that contribute to his sense of personal identity.
Choices A, B, and D are not as relevant for assessing personal identity as they focus on educational background, parental status, and future aspirations, respectively, rather than directly addressing the client's current self-perception and identity.